CAJ | 학술논문

目的：了解HIV/TB患者心理健康状况与其应对方式及社会支持度的现状并分析它们之间的关系，为今后对这类特残人群的干预措施调提供科学依据。方法运用心理卫生评定量表手册中的SCL-90、SCSQ和SSRS三个量对桂西地区（百色市）103对HIV/TB患者和健康对照者进行问卷调查，比较其异同并进行相关分析。结果：SCL-90调查结果。病患组的总均分和各因子得分除“偏执”和“其他”两项外均显著高于对照组；HIV/TB双重感染患者积极应对显著少于对照组，反之消极应对也显著多于对照，病患者组的社会支持力度上无论是主观支持还是客观支持都显著小于对照组；经过回归分析发现HIV/TB双重感染患者心理健康严重程度与社会支持总得分、主观支持、客观支持三个因素有显著负相关，与积极应对有显著正相关。结论：HIV/TB双重感染患者由于疾病特殊，加上社会支持的不足，其心理健康出现了诸多问题，要做好此类病患者的防治工作，需要在心理方面对患者进行疏导，多开展疾病的知识宣教等，同时动员全社会的力量，共同关怀、共同努力、消除歧视，营造一个利于患者的环境，才能工作做好。
목적：료해HIV/TB환자심리건강상황여기응대방식급사회지지도적현상병분석타문지간적관계，위금후대저류특잔인군적간예조시조제공과학의거。방법운용심리위생평정량표수책중적SCL-90、SCSQ화SSRS삼개량대계서지구（백색시）103대HIV/TB환자화건강대조자진행문권조사，비교기이동병진행상관분석。결과：SCL-90조사결과。병환조적총균분화각인자득분제“편집”화“기타”량항외균현저고우대조조；HIV/TB쌍중감염환자적겁응대현저소우대조조，반지소겁응대야현저다우대조，병환자조적사회지지력도상무론시주관지지환시객관지지도현저소우대조조；경과회귀분석발현HIV/TB쌍중감염환자심리건강엄중정도여사회지지총득분、주관지지、객관지지삼개인소유현저부상관，여적겁응대유현저정상관。결론：HIV/TB쌍중감염환자유우질병특수，가상사회지지적불족，기심리건강출현료제다문제，요주호차류병환자적방치공작，수요재심리방면대환자진행소도，다개전질병적지식선교등，동시동원전사회적역량，공동관부、공동노력、소제기시，영조일개리우환자적배경，재능공작주호。
Objective: To understand how the status quo HIV / TB patients cope with their mental health and social support and to analyze the relationship between them. Provide a scientific basis for future interventions to adjust for such special remnant populations. The using of mental health assessment scale manual SCL-90, SCSQ and SSRS rate on three western Guangxi ( Baise city ) 103 pairs of HIV/TB patients and healthy controls questionnaire. Compare their similarities and differences and correlation analysis. The results: SCL-90 survey results .And the total average score of each factor patient groups except"paranoid"and"other"were significantly higher than the two outer. HIV/ TB co-infection in patients with a positive response was significantly less than the control group, conversely negative response was also significantly more than the control, community support groups of patients, whether subjective or objective support were significantly less than the control group. Regression analysis showed that HIV/TB co-infection in patients with mental health and social support total severity score, subjective support, objective support three factors have a significant negative correlation. With a positive response there was a significant positive correlation. Conclusion:HIV/TB co-infection in patients due to disease specific, coupled with lack of social support, mental health emerged many problems, such patients to do prevention work, the need for psychological counseling patients, mostly carry diseases knowledge missionary, etc., while mobilize all social forces to jointly care for joint efforts to eliminate discrimination and create a conducive environment for the patients, in order to get the job done.